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Keaton James Johnston
Student in an Organized Health Care Education/Training Program in Beaverton, Oregon
NPI 1619687191

Keaton James Johnston is a Student in an Organized Health Care Education/Training Program based in Beaverton, OR. Keaton James Johnston practices in Beaverton, OR. The NPI Number for Keaton James Johnston is 1619687191 and holds a License No. (Oregon).

The current practice location address for Keaton James Johnston is 8864 Sw Marseilles Dr, Beaverton, OR and can be reached out via phone at 208-380-2566.

Location: 8864 Sw Marseilles Dr, Beaverton, OR, 97007-9039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619687191
Provider Name
Keaton James Johnston
Credential
Provider Entity Type
Individual
Gender
Male
Address
8864 Sw Marseilles Dr, Beaverton, OR, 97007-9039
Phone Number
208-380-2566
Fax Number
Provider Enumeration Date
11/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8864 Sw Marseilles Dr
City
Beaverton
State
Oregon
Zip
97007-9039
Phone Number
208-380-2566
Fax Number
person
Provider Business Mailing Address Details
Address
8864 Sw Marseilles Dr
City
Beaverton
State
Oregon
Zip
97007-9039
Phone Number
208-380-2566
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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